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Query: UMLS:C0036690 (sepsis)
 59,461 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Pneumatosis cystoides intestinalis is a condition in which submucosal or subserosal gas cysts are found in the wall of the small or large bowel. Both fulminant and benign forms exist. Fulminant pneumatosis cystoides intestinalis is associated with an acute bacterial process, sepsis, and necrosis of the bowel, while benign pneumatosis cystoides intestinalis can be totally asymptomatic and observed as an incidental finding at laparotomy. Many different causes of pneumatosis cystoides intestinalis have been proposed, including mechanical and bacterial causes. A review of the literature is presented with emphasis on the etiology of pneumatosis cystoides intestinalis, which probably can be attributed to bacterial and mechanical factors. Diagnosis and different forms of therapy and their efficacy are also discussed.
Dis Colon Rectum 1986 May
PMID:Pneumatosis cystoides intestinalis. A review of the literature. 351 2

An oral colonic lavage solution containing sodium sulfate and polyethylene glycol was compared with whole-gut irrigation using saline via a nasogastric tube in a randomized blinded study of 34 consecutive well-matched patients undergoing elective colorectal surgery. Both methods were safe and rapid. Patients receiving oral colonic lavage, however, had significantly less (P less than 0.05) water retention, overall distress, cramps, and other complaints. No significant differences were found with regard to fullness, nausea, and rectal discomfort. The bowel cleansings were equally adequate, and most patients achieved a good-to-excellent preparation. Surgical complications appeared not to be related to the preparation used, and wound sepsis were equally frequent. Oral colonic lavage proved to be the most attractive preoperative cleansing method.
Dis Colon Rectum 1987 May
PMID:Preparation for elective colorectal surgery. A randomized, blinded comparison between oral colonic lavage and whole-gut irrigation. 355 4

The efficiency of abdominal contra perineal drainage of the pelvic cavity after abdominoperineal resection for carcinoma of the rectum was evaluated retrospectively with regard to the frequency of perineal wound sepsis and length of hospital stay. Thirty-two (45 percent) of 71 patients with perineal drainage developed perineal wound sepsis, compared with four (12 percent) of 32 patients with abdominal drainage (P less than 0.01). Patients with perineal drainage stayed longer in the hospital (mean, 33 days) than those with abdominal drainage (mean, 24 days) (P less than 0.004). Furthermore, postoperative recovery was more comfortable in patients with abdominal drainage. Abdominal drainage therefore is recommended after abdominoperineal resection.
Dis Colon Rectum 1987 May
PMID:Abdominal vs. perineal drainage in rectal surgery. 356 28

The outcome of mucosal proctectomy with ileoanal anastomosis in patients with polyposis coli has not been well studied. A series of 25 patients with polyposis treated at the Mount Sinai Hospital over a period of ten years is reported. The mean age of the patients was 23 years. Early postoperative complications were present in seven patients and consisted of thrombophlebitis (three), pelvic sepsis (three), and retraction of the anastomosis (one). Intestinal obstruction requiring laparotomy occurred in another five patients. Twenty-three patients were followed for a mean of 47 months after closure of the ileostomy. Ninety-one percent are satisfied with the operative results. The mean number of bowel movements per 24 hours is 6.0. All patients are continent, but eight have occasional episodes of rectal seepage at night. Nearly 50 percent require some antidiarrheal medication. New adenomatous polyps have developed just above the dentate line in four patients. Patients with polyposis coli seem to have fewer serious complications requiring excision of the ileoanal anastomosis than patients with ulcerative colitis. They also should have lifelong surveillance of the entire gastrointestinal tract even after total colectomy with ileoanal anastomosis.
Dis Colon Rectum 1987 Jun
PMID:Familial polyposis coli. Results of mucosal proctectomy with ileoanal anastomosis. 359 59

A 20-year-old woman presented with an acute perianal abscess. Tuberculous culture was positive and a chest radiograph demonstrated miliary spread. Tuberculosis still should be considered as an etiologic factor in acute anorectal sepsis.
Dis Colon Rectum 1987 Sep
PMID:Miliary tuberculosis presenting as an acute perianal abscess. Report of a case. 362 77

To evaluate the outcome of surgery for ulcerative colitis in pediatric and adolescent patients, the experience at the Cleveland Clinic Foundation was reviewed retrospectively. Fifty-nine percent of the patients presented with acute toxic colitis and sepsis; 94 percent underwent staged procedures with creation of a temporary or permanent ileostomy. Sepsis was the most frequent postoperative complication (38 percent), and accounted for all three deaths (5 percent). Long-term disability was minimal, and 90 percent of the patients were fully active at the time of follow-up.
Dis Colon Rectum 1987 Oct
PMID:Surgery for ulcerative colitis in the pediatric population. Indications, treatment, and follow-up. 365 87

Forty-four patients presenting with painful outlet constipation had internal rectal intussusception documented by cinedefecography. Rectal reservoir reduction by multiple elastic ligation or staple excision of redundant mucosa effectively improved bowel function and outlet symptoms in the majority of patients. Rectal reduction procedures were performed under intravenous sedation with antibiotic coverage, no postoperative sepsis, and a single case of significant postoperative bleeding. Associated abnormalities on defecography were unaffected.
Dis Colon Rectum 1987 Oct
PMID:Rectal reservoir reduction procedures for internal rectal prolapse. 365 90

Retroperitoneal abscesses may develop insidiously, resulting in delayed diagnosis with significant morbidity and mortality. Subcutaneous emphysema of the thigh may be a late manifestation of this process, and often heralds a poor prognosis because of associated myonecrosis and fulminant sepsis. The presentation and clinical course of such a patient is summarized, and the relevant anatomy of the retroperitoneal spaces that predisposes to this condition is described.
Dis Colon Rectum 1986 Jul
PMID:Retroperitoneal perforation of the appendix presenting as subcutaneous emphysema of the thigh. 372 Apr 59

Three hundred ten predominantly male patients who were 75 years of age or older and had surgery for colorectal carcinoma had a hospital mortality rate of 9 percent and a cancer-related five-year survival of 50 percent. These results and a detailed analysis of the causes of complications and mortality were compared with the outcome of 710 patients who were treated concurrently and who were younger than 75 years. Tumors in older patients had a tendency to occur on the right side and were more locally advanced. Increased mortality was particularly attributable to sepsis and cardiovascular causes. Increased morbidity was due principally to respiratory and urinary problems. There were no significant differences, however, in wound or anastomotic complications, nor was therapy for the older patients more costly. The indications for surgical resection for colorectal cancer in patients aged 75 years and older should be the same as those for any younger group.
Dis Colon Rectum 1986 Nov
PMID:Surgery for large bowel cancer in people aged 75 years and older. 376 88

Rubber band ligation of hemorrhoids has had a low incidence of complications until recently, when five deaths resulted from bacterial septicemia or toxemia. The case presented describes a severe soft-tissue infection following banding successfully treated with antibiotics, surgical debridement, and hyperbaric oxygen.
Dis Colon Rectum 1987 Feb
PMID:An unusual complication of rubber band ligation of hemorrhoids. 380 21


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